Kanoff, Jack M

Kanoff, Jack M is an individual health care provider with primary practice located at 107 Vine St South Jersey Chest Diseases, Hammonton NJ 08037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kanoff, Jack M can be contacted via phone (609) 561-7666.

Contact Information

Primary practice address
107 Vine St South Jersey Chest Diseases Hammonton NJ 08037
Phone: (609) 561-7666
Fax: (609) 567-8347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MB51473 New Jersey

Profile Details

NPI number 1902813843
LBN Legal business name Kanoff, Jack M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902813843 NPPES
New Jersey Other 23054 AETNA
New Jersey Other 110132972 AETNA
New Jersey MEDICAID 2330105 AETNA
New Jersey Other 532646 AETNA
New Jersey Other 1006475 AETNA
New Jersey Other 290002755 AETNA
New Jersey Other J27185 AETNA
New Jersey Other P369523 AETNA

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